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From there, several proven treatment paths may apply, including: Structured exercise and physical therapy programs Weight management support, since extra weight adds stress to joints Activity modification to reduce repetitive strain Topical or oral anti-inflammatory medications when appropriate Referral to a specialist for imaging or advanced treatment when needed These approaches remain first-line care because they are backed by decades of research

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So, I, the patient, am left to do the entire research, differential diagnosis, and treatment plan by myself, trying to integrate the feedback from the various specialists and triangulate the root-cause from amongst the various sub-specialists